Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jennifer Renee Dicicco, DPT

Individual provider Physical Therapist · NPI 1255584330

Mrs. Jennifer Renee Dicicco, DPT is a Physical Therapist in Charlotte, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2008.

Licensed in
NC, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4501 Cameron Valley Pkwy Ste 300
Charlotte, NC 28211-4297
Phone: (703) 304-0620
Fax: (704) 304-0620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence P12753 (NC)
Physical Therapist Taxonomy 225100000X · Licence 2305205704 (VA)

Record details

NPI number1255584330
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 3, 2008
Last updated in NPPESNovember 5, 2012

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